Specifications Manual for Joint Commission National Quality Measures (v2020A)
Posted: August 1, 2019
Discharges 01-01-20 (1Q20) through 6-30-20 (2Q20)

Home » Acute Stroke Ready Outpatient (ASR-OP)

Release Notes:
Measure Information Form
Version 2020A


Acute Stroke Ready Outpatient (ASR-OP)

Set Measures

Set Measure ID Measure Short Name
ASR-OP-1 Thrombolytic Therapy: Drip and Ship
ASR-OP-2 Door to Transfer to Another Hospital

General Data Elements

Element Name Collected For
Birthdate All Records,
Hispanic Ethnicity All Records,
ICD-10-CM Principal Diagnosis Code All Records, Optional for HBIPS-2, HBIPS-3
Measure Category Assignment All Records, Calculation, Transmission, Hospital Clinical Data File, Used in calculation of the Joint Commission's aggregate data and in the transmission of the Hospital Clinical Data file.
Payment Source All Records, Optional for HBIPS-2 and HBIPS-3
Race All Records,
Sex All Records,

Algorithm Output Data Elements

Element Name Collected For
Measure Category Assignment All Records, Calculation, Transmission, Hospital Clinical Data File

Measure Set Specific Data Elements

Element Name Collected For
Arrival Time ASR-OP-1, ASR-OP-2
Comfort Measures Only ASR-OP-2
Date Last Known Well ASR-OP-1
Discharge Code ASR-OP-2
E/M Code ASR-OP-1, ASR-OP-2
ED Departure Date ASR-OP-2
ED Departure Time ASR-OP-2
IV Alteplase Initiation ASR-OP-1, ASR-OP-2
IV Alteplase Initiation Date ASR-OP-1
IV Alteplase Initiation Time ASR-OP-1
Last Known Well ASR-OP-1
Outpatient Encounter Date ASR-OP-1, ASR-OP-2
Reason for Extending the Initiation of IV Alteplase ASR-OP-1
Reason for Not Initiating IV Alteplase ASR-OP-1
Time Last Known Well ASR-OP-1

ASR-OP Initial Patient Population

The population of the ASR-OP measure set is identified using 4 data elements:

  • EM Code
  • ICD-10-CM Principal Diagnosis Code
  • Outpatient Encounter Date
  • Birthdate

Patients admitted to the hospital for outpatient acute care with an EM Code as defined in Appendix A, Table 1.0, and an ICD-10-CM Principal Diagnosis Code for ischemic or hemorrhagic stroke as defined in Appendix A, Table 8.1 or Table 8.2, and a Patient Age (Outpatient Encounter Date minus Birthdate) greater than or equal to 18 years are included in the ASR-OP Initial Patient Population.

Measure Information Form ASR-OP
CPT® only copyright 2019 American Medical Association. All rights reserved.
Specifications Manual for Joint Commission National Quality Measures (v2020A)
Discharges 01-01-20 (1Q20) through 6-30-20 (2Q20)

LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION (“CPT®”)

CPT® only copyright 2019 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.

You, your employees and agents are authorized to use CPT® only as contained in The Joint Commission performance measures solely for your own personal use in directly participating in healthcare programs administered by The Joint Commission. You acknowledge that the American Medical Association (“AMA”) holds all copyright, trademark and other rights in CPT®.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT® for resale and/or license, transferring copies of CPT® to any party not bound by this Agreement, creating any modified or derivative work of CPT®, or making any commercial use of CPT®. License to use CPT® for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, AMA Plaza, 330 North Wabash Avenue, Suite 39300, Chicago, Illinois 60611-5885. Applications are available at the American Medical Association Web site, www.ama- assn.org/go/cpt.

U.S. Government Rights This product includes CPT® which is commercial technical data, which was developed exclusively at private expense by the American Medical Association, 330 North Wabash Avenue, Chicago, Illinois 60611. The American Medical Association does not agree to license CPT® to the Federal Government based on the license in FAR 52.227-14 (Data Rights - General) and DFARS 252.227-7015 (Technical Data - Commercial Items) or any other license provision. The American Medical Association reserves all rights to approve any license with any Federal agency.

Disclaimer of Warranties and Liabilities. CPT® is provided “as is” without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT®, and the (AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product.

This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled “accept”.

^